SUNG TAE KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141097

License Status

NOT RENEWED

Business

Title

First Name

SUNG

Middle

TAE

Last Name

KIM

Business Name

SUNG TAE KIM MD

Original Issue Date

06/30/2016

Effective Date

06/30/2016

Expiration Date

07/31/2017

City

FAIRFAX

State

Zip

22033

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/01/2017